精神健康、物质使用以及与近期使用大麻睡眠相关的相关因素:一项双胞对照研究

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Zoë Panchal, Joseph Sakai, Andrea N Goldstein-Piekarski, Jarrod M Ellingson, William Iacono, Robin P Corley, Scott Vrieze, Christian J Hopfer, John K Hewitt, Matt K McGue, J Megan Ross
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引用次数: 0

摘要

目的:检验:1)过去一个月使用大麻睡眠与成人心理健康、物质使用和相关因素之间的横断面关联;2)双胞胎共有的遗传和早期环境因素(家族混淆)在解释显著关联中的作用。方法:在以人口为基础的成年双胞胎样本(n = 3,165, Mage36.7)中,我们运行回归(表型)和多水平(双胎对照)模型,检查过去一个月在没有兴趣的情况下使用大麻用于睡眠之间的关系。我们控制了吸食大麻的频率和睡眠质量,除非两者都是我们感兴趣的结果。结果:在表型模型中,近期使用大麻用于睡眠与多种精神健康、物质使用和相关因素相关。在双胎对照模型中,家庭内部效应显著:使用大麻睡眠问题更多,使用大麻频率更高,睡眠质量更差,更频繁地使用酒精和药物来睡眠。结论:家族混淆可以解释近期使用大麻睡眠与精神健康、物质使用和相关因素之间的许多关联,但不是全部。需要进行纵向研究,以澄清家族混杂因素无法解释的关联的方向性,以及它们是否存在使用大麻睡眠的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental Health, Substance Use, and Related Factors Associated with Recent Use of Cannabis for Sleep: A Co-Twin Control Study.

Objectives: To examine: 1) cross-sectional associations between past-month use of cannabis for sleep with mental health, substance use, and related factors in adults and 2) the role of genetic and early environmental factors shared by twins (familial confounds) in explaining significant associations.

Methods: In a population-based sample of adult twins (n = 3,165, Mage36.7) we ran regression (phenotypic) and multilevel (co-twin control) models examining associations between past-month use of cannabis for sleep without comes of interest. We controlled for cannabis frequency and sleep quality except when each was the outcome of interest.

Results: Recent use of cannabis for sleep was associated with multiple mental health, substance use, and related factors in phenotypic models. In co-twincontrol models, within-family effects were significant between using cannabis for sleep with more problems from cannabis use, higher cannabis frequency, worse sleep quality, and more frequent use of alcohol and medication for sleep.

Conclusions: Familial confounds may explain many, but not all, associations between recent use of cannabis for sleep and mental health, substance use, and related factors. Longitudinal work is needed to clarify the directionality of associations not explained by familial confounds, and whether they are risks of using cannabis for sleep.

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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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